MEDICARE: ORESTES GUTIERREZ D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO152080	OR

General Provider Information

NPI Number	:	1558332791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORESTES GUTIERREZ D.O.

Provider Business Mailing Address
First Line	:	5 E 24TH AVE
Second Line	:	SUITE #2
City	:	EUGENE
State	:	OR
Zip	:	97405-2907
Country	:	US
Telephone Number	:	541-232-5627
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 E 24TH AVENUE
Second Line	:	SUITE #2
City	:	EUGENE
State	:	OR
Zip	:	97405-2907
Country	:	US
Telephone Number	:	541-232-5627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	06/21/2012

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